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. 2022 Nov 23;10:1034195. doi: 10.3389/fpubh.2022.1034195

Table 5.

Main results of systematic reviews focused on the link between shift work and smoking habits.

References, Country Type - Shift
work (n)
Assessment of outcomes (n) Confounding factors (n) Main results shift work vs. day work (n)
Boggild and Knutsson (21), Nordic countries Unspecified (16) Smokers, % (14)
Cigarettes/day (2)
NA Tobacco consumption:
- Cross sectional studies: Significantly higher (6), lower (1), no difference (5)
- Prospective studies: at baseline of studies: higher (2);
After 6-months follow-up, no difference of number of new smokers and no change habits (1)
Zhao and Turner (32), Australia Permanent night (2)
Rotating (2)
Evening (1)
Unspecified (3)
Smokers, % (5)
Cigarettes/day (2)
Adjustments (1)
MD (6)
- Shift work: current smokers OR = 1.3 (1.1–1.6) (1)
- Rotating shift: current smokers: 40 vs. 34.3%, p = 0.058 (1); % of every day smokers: NS (1)
- Permanent night: more likely to smoke and smoked significantly (p < 0.01) more cigarettes/day (1)
- Shift work: significantly higher tobacco consumption, p = 0.027 (1)
- Shift work: after 1-year follow-up, significantly higher number of cigarettes/day (1)

(n), Number of studies concerned; MD, Missing Data; NA, Non Adjusted; NS, Non Significant.